RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC


Address: 13431 Old Meridian Street, Suite 225, Carmel, IN 46032
Phone: 3172492616

RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC (NPI# 1003000399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003000399
Entity Type Organization
Organization Name RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC
Other Organization Name RECONSTRUCTIVE HAND SURGEONS OF INDIANA
Practice Address 13431 Old Meridian Street
Suite 225
Carmel
IN 46032
Practice Telephone 3172492616
Practice Fax Number 3172492618
Mailing Telephone 3172492616
Mailing Fax Number 3172492618
Enumeration Date 2007-08-30
Last Update Date 2014-05-19
Authorized Official Name MR. MICHAEL E PANNUNZIO (PARTNER)
Authorized Official Telephone 3172492616
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN MEDICAL LICENSE 01063681A 01

Other Provider/Organization Names

Other Name Type Code
Reconstructive Hand Surgeons of Indiana Former Legal Business Name - Organization

Office Location

Street Address 13431 OLD MERIDIAN STREET
SUITE 225
City CARMEL
State IN
Zip Code 46032

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1427518737 Ayesha Kias Physical Therapist Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 2019-03-22
1104305952 Megan Nicole Neitling Counselor 600 E Carmel Dr Ste 146, Carmel, IN 46032 2018-08-13
1154817427 Open Doors Counseling and Consulting LLC Nurse Practitioner 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 2018-07-10
1326533837 Emily Jo Hardy Physical Therapy Assistant Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 2018-06-27
1770086845 Erin Reagan Occupational Therapist 1118 Havest Ct., Carmel, IN 46032 2018-03-14
1356859748 Maricelia Serrano Physical Therapy Assistant Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 2018-01-19
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Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598700783 Michael E Pannunzio Orthopaedic Surgery 13431 Old Meridian St, Suite 225, Carmel, IN 46032-7101 2006-06-19
1033259841 James W Strickland Md PC Orthopaedic Surgery 13421 Old Meridian St, Suite 200, Carmel, IN 46032-1427 2007-02-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689873291 Christian Hand Center, Inc Orthopaedic Surgery 1800 S. 3rd St., Terre Haute, IN 47802 2007-07-13
1295708659 Richard L Makowiec Orthopaedic Surgery 5255 E Stop 11 Rd Ste 300, Indianapolis, IN 46237 2006-02-08
1497758429 Fort Wayne Orthopaedics LLC Orthopaedic Surgery 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 2005-05-23
1639644560 Orthocincy Orthopaedic Surgery 605 Wilson Creek Rd, Lawrenceburg, IN 47025-2506 2018-10-08
1912404435 Thomas A Brady Sports Medicine Ctr Orthopaedic Surgery 639 S Walker St Ste E, Bloomington, IN 47403-2124 2018-04-11
1952790321 Community Care Network, Inc Orthopaedic Surgery 7835 Grand Blvd, Hobart, IN 46342-6665 2015-01-22
1679903009 Trihealth Physicians of Indiana, Inc. Orthopaedic Surgery 600 Wilson Creek Rd, Suite 310, Lawrenceburg, IN 47025-2751 2013-11-21
1043525009 Fort Wayne Orthopedics, LLC Orthopaedic Surgery 315 W Old Key Dr, Suite 140, Peru, IN 46970-9058 2010-08-16
1881909935 Fort Wayne Orthopedics, LLC Orthopaedic Surgery 207 N Townline Rd, Lagrange, IN 46761-1325 2010-08-13
1609181759 Fort Wayne Orthopaedics, LLC Orthopaedic Surgery 1302 Minnich Rd, New Haven, IN 46774-2052 2010-08-13
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Competitor

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City CARMEL
Zip Code 46032

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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